EP0047436A1 - Dispositif d'ancrage pour la fixation de dents ou de prothèses - Google Patents

Dispositif d'ancrage pour la fixation de dents ou de prothèses Download PDF

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Publication number
EP0047436A1
EP0047436A1 EP81106640A EP81106640A EP0047436A1 EP 0047436 A1 EP0047436 A1 EP 0047436A1 EP 81106640 A EP81106640 A EP 81106640A EP 81106640 A EP81106640 A EP 81106640A EP 0047436 A1 EP0047436 A1 EP 0047436A1
Authority
EP
European Patent Office
Prior art keywords
composite body
composite
root
calcium phosphate
designed
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP81106640A
Other languages
German (de)
English (en)
Inventor
Guido Dr. Med. Dent. Riess
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
RIESS GUIDO DR
Original Assignee
RIESS GUIDO DR
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by RIESS GUIDO DR filed Critical RIESS GUIDO DR
Publication of EP0047436A1 publication Critical patent/EP0047436A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/001—Multiple implanting technique, i.e. multiple component implants introduced in the jaw from different directions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0003—Not used, see subgroups
    • A61C8/0004—Consolidating natural teeth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0012—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy

Definitions

  • the invention relates to an anchoring device for the attachment of teeth or dentures in the jawbone using existing tooth parts with roots.
  • a dental periodontal (tooth and root skin) functional unit cannot be replaced.
  • Their complex advantages consist of the ectodermal integrity of the tooth structure and epitel, as well as the dental and periodontal innervation with central control.
  • This unit thus represents an organ that can ultimately transmit forces to the jawbone under optimal conditions. It is therefore desirable to maintain damaged and no longer viable dental-periodontal units that have been removed according to previous practice by all means, especially if they can be assigned a supporting and controlling function within the framework of an implantological-prosthetic reconstruction.
  • the invention has for its object to provide an anchoring device which allows the maintenance of the above-mentioned dental-periodontal functional unit, in particular for implantological-prosthetic purposes, with simple means.
  • the anchoring device of the type mentioned at the outset is characterized by a composite body which can be implanted in the jawbone in the region of the root tip and consists of a bioreactive composite based on calcium phosphate with an insert body which is embedded in the composite body and extends over a limited surface area of the composite body and consists of an elastic, biocompatible material in which a fixation pin protruding through the pulp and root canal of the tooth can be screwed.
  • composite bodies designed as implant bodies using calcium phosphate ceramic as resorbable and thus bioreactive substance that can be absorbed by bone tissue are already known. Because calcium phosphate ceramics by themselves for implantological purposes If the calcium phosphate is not mechanically stable enough, it is stored in suitable proportions in composite bodies made of plastic or in sintered metal bodies.
  • composite bodies of this type are designed for the first time as holding bodies to be completely implanted in the jaw bone, so that they can be used for the subsequent attachment of a fixation pin which penetrates the bored pulp channel of the tooth.
  • the composite body is provided with an insert body made of elastic, biocompatible material, into which the fixation pin can be screwed in after the implantation of the composite body.
  • the elastic design of the insert body ensures that the dental periodontal functional unit obtained with this anchoring device is not disturbed in its force-absorbing function.
  • the composite body is designed as a cylinder body which is rounded on one side with a hemisphere and is slightly tapered, in the outer surface of which the insert body is embedded and which fills an approximately rectangular outer surface area of the cylinder body.
  • This design enables simple implantation as described below, for example.
  • the extension of the insert body over a certain surface area area means that it is not necessary to implant the composite body into the jawbone with millimeter accuracy, since the fixation pin can be screwed securely into the insert body even with slightly different positions of the composite body with respect to the tooth root or in relation to the drilled pulp canal.
  • the insert body extends deeper than half the diameter of the cylinder body and is arranged in a slightly undercut recess in the cylinder body.
  • the fixation pin is designed at least on its front end to be screwed into the insert body as a self-tapping threaded pin and is expediently coated with phosphate cement.
  • the cylinder body is pressed into the bearing, which is designed as a hollow, and is taut with short hammer blows in his jawbone bearing anchored. This means that the critical area of the root tip of a tooth is filled with bioreactive material and the problems of a macroscopically recognizable blood croagulum are eliminated.
  • the cylindrical, slightly conical composite body is anchored on the one hand in the labial or buccal cortex, on the other hand it finds a firm hold in the extensive surface of the cancellous bone, which immediately begins to react positively with the composite body material in the described bone preparation.
  • a pre-drilling is carried out in the insert body of the composite body with a twist drill of smaller diameter, in order to then be able to screw in the preferably self-tapping fixation pin, for example 2 mm in diameter, coated with phosphate cement.
  • the labial-buccal protruding substance of the implanted composite is removed and the wound closed with sutures.
  • the fixation pin which is expediently first provided with a handle, is shortened and the tooth is provisionally restored under infra-occlusion.
  • This method was carried out on three shepherd dogs between one and two years of age under general anesthesia.
  • the procedure was performed once on the mesial root of a hemorrhaged tooth P4 of the lower jaw, twice on the lower canine.
  • the animals were initially given soft food, after six weeks mixed food. In contrast to the clinical case, the teeth were left in their occlusion since they were firm from the start. No relaxation during the experimental period was noticed. Otherwise, the entire healing process was unremarkable and uncomplicated.
  • the anchoring device consists of a composite body 1 made of a composite material based on plastic or metal with embedded resorbable, bioreactive calcium phosphate ceramic for connective tissue-free ingrowth into bone tissue.
  • the composite body 1 has a cylindrical shape that is rounded off on one side and hemispherical and has a slightly tapered shape.
  • an insert body 3 made of a bio compatible elastic material arranged in which a fixation pin 4 ( Figure 4) can be screwed.
  • the insert body 3 is arranged in a slightly undercut recess 5 within the composite body 1 and extends approximately in a rectangular shape over a limited surface area area of the composite body 1.
  • the fixation pin 4 protruding through the bored pulp channel 6 of the tooth 7 with tooth root 8 is provided at its lower end with a preferably self-tapping thread 9 with which it can be screwed into the insert body 3 of the composite body 1.
  • the fixation pin 4 is expediently provided with a handle la for the screwing-in process, which can later be removed together with unused protruding parts of the pin 4.
  • the gingiva is indicated at 11.
  • the composite body forming the central element of the anchoring device according to the invention consists, for example, of tricalcium phosphate 13oo and polymethyl methacrylate in a ratio of 5o: 5o.
  • the dimensions are, for example, 5 mm in diameter and 7 mm in length.
  • the maximum load was 82 N / mm 2 .
  • the water absorption was, for example, 0.35%.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Ceramic Engineering (AREA)
  • Dental Prosthetics (AREA)
EP81106640A 1980-09-10 1981-08-26 Dispositif d'ancrage pour la fixation de dents ou de prothèses Withdrawn EP0047436A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3034086A DE3034086C2 (de) 1980-09-10 1980-09-10 Verankerungsvorrichtung für die Befestigung von Zähnen oder Zahnprothesen
DE3034086 1980-09-10

Publications (1)

Publication Number Publication Date
EP0047436A1 true EP0047436A1 (fr) 1982-03-17

Family

ID=6111595

Family Applications (1)

Application Number Title Priority Date Filing Date
EP81106640A Withdrawn EP0047436A1 (fr) 1980-09-10 1981-08-26 Dispositif d'ancrage pour la fixation de dents ou de prothèses

Country Status (5)

Country Link
EP (1) EP0047436A1 (fr)
DE (1) DE3034086C2 (fr)
ES (1) ES269066Y (fr)
IL (1) IL63693A0 (fr)
WO (1) WO1982000755A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995010246A1 (fr) * 1993-10-13 1995-04-20 Herbert Rixecker Dispositif et procede de fixation transdentaire de dents et de racines individuelles
WO2004002356A1 (fr) * 2002-06-27 2004-01-08 Jung-Moon Kim Implant orthodontique

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3446223A1 (de) * 1984-12-19 1986-06-19 Robert 8025 Unterhaching Nopper Zahnaerztliches implantat
ES2004221A6 (es) * 1987-02-13 1988-12-16 Padros Pradera Alejandro Tornillos para implantes dentales
DE3711426A1 (de) * 1987-04-04 1988-10-13 Mtu Muenchen Gmbh Implantat mit bioaktivem ueberzug
US8888828B2 (en) 2009-07-16 2014-11-18 Covidien Lp Composite fixation device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2127967A1 (de) * 1971-06-05 1972-12-14 Tosti, Anthony, Norwalk, Conn. (V.StA.) Verfahren zum Füllen und dichten eines Zahnwurzelkanales
US3934347A (en) * 1975-01-14 1976-01-27 Lash Oral Implants Dental prosthetic structure and method
US4084318A (en) * 1974-04-09 1978-04-18 Mceachern Charles M Stabilized dental implant
EP0006544B1 (fr) * 1978-06-23 1981-11-04 Battelle-Institut e.V. Matériau de remplacement des os pour implantation à base de céramique de phosphate de calcium dans une matrice et procédé pour sa fabrication

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3813779A (en) * 1969-07-30 1974-06-04 A Tosti Method and apparatus for sealing root canals and anchoring teeth
DE2834601C3 (de) * 1978-08-07 1981-01-29 Hans-Dieter Dr. 4130 Moers Kickartz Enossales Implantat zur Aufnahme von Zahnersatz
JPS5550349A (en) * 1978-10-09 1980-04-12 Kureha Chemical Ind Co Ltd Dental compound material
US4351069A (en) * 1979-06-29 1982-09-28 Union Carbide Corporation Prosthetic devices having sintered thermoplastic coatings with a porosity gradient
DE2928007A1 (de) * 1979-07-11 1981-01-15 Riess Guido Dr Knochen-implantatkoerper fuer prothesen und knochenverbindungsstuecke sowie verfahren zu seiner herstellung

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2127967A1 (de) * 1971-06-05 1972-12-14 Tosti, Anthony, Norwalk, Conn. (V.StA.) Verfahren zum Füllen und dichten eines Zahnwurzelkanales
US4084318A (en) * 1974-04-09 1978-04-18 Mceachern Charles M Stabilized dental implant
US3934347A (en) * 1975-01-14 1976-01-27 Lash Oral Implants Dental prosthetic structure and method
EP0006544B1 (fr) * 1978-06-23 1981-11-04 Battelle-Institut e.V. Matériau de remplacement des os pour implantation à base de céramique de phosphate de calcium dans une matrice et procédé pour sa fabrication

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995010246A1 (fr) * 1993-10-13 1995-04-20 Herbert Rixecker Dispositif et procede de fixation transdentaire de dents et de racines individuelles
DE4334830C1 (de) * 1993-10-13 1995-05-04 Herbert Dr Dr Rixecker Verankerungsvorrichtung für die Befestigung von Zähnen oder Wurzeln im Kieferknochen
WO2004002356A1 (fr) * 2002-06-27 2004-01-08 Jung-Moon Kim Implant orthodontique

Also Published As

Publication number Publication date
IL63693A0 (en) 1981-11-30
DE3034086A1 (de) 1982-03-18
ES269066U (es) 1983-06-16
ES269066Y (es) 1984-01-01
DE3034086C2 (de) 1983-02-17
WO1982000755A1 (fr) 1982-03-18

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PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

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Effective date: 19820630

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Effective date: 19840126